The Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) generally prevents group health plans and health insurance issuers that provide for mental health or substance use disorder (MH/SUD) benefits, from imposing more stringent benefit limitations on such benefits than are being imposed on medical/surgical benefits. Per the Consolidated Appropriations Act (“CAA”), health plans and issuers that are subject to MPHAEA and impose nonquantitative treatment limitations (NQTLs) on MH/SUD benefits, must now perform and document a detailed comparative analysis.
This analysis includes a review of how plans are administered in relation to MH benefits to ensure they are in parity with Medical Benefits, an evaluation of precertification and the process of how providers are selected. The comparative analysis must be prepared and made available upon request to the DOL, HHS, or state authority, beginning 45 days after the enactment of the CAA (February 10, 2021). NQTLs are non-numerical limits on the scope or duration of benefits for treatment (such as preauthorization requirements).
Watch this InspireYOU webinar to learn the Health Plan’s obligations under this requirement and to understand the scope of the analysis and how it may be performed. This webinar also provides potential resources that may be able to assist your organization in complying with this requirement.
This webinar is presented by MJ Insurance’s Director of Compliance Regulation, Bryan Gross in partnership with one of MJ’s trusted vendors, Self Insured Reporting. This webinar is facilitated by Self Insured Reporting’s CEO, Mark Combs, and Jordan O. Smith, NQTL Practice Leader.